在查营招募的白内障患者中,非手术性排泄的原因:印度西北部的一项研究
Matteo Ripa1, Gaurav Khade2, Neeraj Apoorva Shah2
1Department of Ophthalmology, Sankara Eye Hospital, Jaipur, 302039, Rajasthan, India. matteof12@gmail.com.
International ophthalmology
|June 20, 2025
概括
在印度的白内障查后,非手术性排泄是罕见的,但可以预防. 解决患者的同意,高血压和透镜的可用性可以改善白内障手术程序的结果.
科学领域:
- 眼科医生 眼科 眼科
- 公共卫生 公共卫生
- 医疗保健管理的管理
背景情况:
- 印度的白内障手术查营 (SC) 旨在增加对视力恢复的准入.
- 非手术性出院 (NSDS) 代表了治疗和计划效率的错失机会.
研究的目的:
- 在西北印度查营 (SCs) 接受白内障手术的患者中,确定非手术性出院 (NSDS) 的主要原因.
- 为印度的 SC 计划提出可行的改进,以尽量减少 NSDS.
主要方法:
- 对13,219名患者的病历进行了回顾性横截面分析,从查到医院评估.
- 将NSDS原因分为与患者相关的,与管理相关的和与麻醉相关的因素.
- 后勤回归分析以确定NSDS的重要预测因素.
主要成果:
- 7.8% (1036/13,219) 的被招募的患者没有通过手术获得出院.
- 与患者相关的原因,特别是拒绝同意 (29.06%) 是最常见的.
- 高血压 (>140/90 mmHg) 和缺少眼内透镜是NSDS的重要贡献者.
结论:
- 非手术性排泄,虽然很少发生,但会影响白内障手术计划的有效性.
- 改善患者咨询和管理高血压等并发症至关重要.
- 解决物流问题,如眼内透镜的可用性,对于优化SC程序至关重要.
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